Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs Provide patient and provider education Facilitate member access to community based services Monitor referrals made to community based organizations, medical care and other services to support the...
Jan 20, 2021
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs Provide patient and provider education Facilitate member access to community based services Monitor referrals made to community based organizations, medical care and other services to support the...
Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform training, orientation and coaching for performance improvement within physician practices. Serve as primary contact for providers serving as a liaison between the provider and the health plan Conduct monthly face to face meetings with the providers documenting discussions, issues, attendees, and action items researching claims issues on site and routing to the appropriate party for resolution Receive and respond to external provider related issues Initiate entry or change of provider related database information and oversee testing and completion of change request Investigate, resolve and communicate provider claim issues and changes Educate providers regarding policies and procedures related to referrals and claims submission, web site education, EDI solicitation and problem solving Perform...
Jan 20, 2021
Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform training, orientation and coaching for performance improvement within physician practices. Serve as primary contact for providers serving as a liaison between the provider and the health plan Conduct monthly face to face meetings with the providers documenting discussions, issues, attendees, and action items researching claims issues on site and routing to the appropriate party for resolution Receive and respond to external provider related issues Initiate entry or change of provider related database information and oversee testing and completion of change request Investigate, resolve and communicate provider claim issues and changes Educate providers regarding policies and procedures related to referrals and claims submission, web site education, EDI solicitation and problem solving Perform...
Position Purpose: Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements. Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure. Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). Identifies specific practice needs where Centene can provide support. Develops, enhances and maintains provider clinical relationship across product lines.Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA)...
Jan 20, 2021
Position Purpose: Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements. Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure. Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). Identifies specific practice needs where Centene can provide support. Develops, enhances and maintains provider clinical relationship across product lines.Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA)...
PeopleReady is hiring Cook. The primary purpose of this job position is to prepare food in accordance with current applicable federal, state and local standards, guidelines and regulations, with our established policies and procedures, and as may be directed by the Head Cook, Team Leader and/or Director of Food Service to assure that quality food service is provided at all times. Under the supervision of the Team Leader is responsible for hot food preparation, including accompaniment and garnishes.
Note – Pay Rate for this Job is $15/Hour
Resposibilities:
Comprehensive knowledge of food preparation and handling technique.
General knowledge of safety and sanitation rules and practices.
Ability to work well independently given proper direction.
Has latitude to cope with some problems.
Confers with Team Leader on unusual problems.
Ensures that all hot food preparation and assembling is done in accordance with established procedures.
Responsible for...
Jan 22, 2021
PeopleReady is hiring Cook. The primary purpose of this job position is to prepare food in accordance with current applicable federal, state and local standards, guidelines and regulations, with our established policies and procedures, and as may be directed by the Head Cook, Team Leader and/or Director of Food Service to assure that quality food service is provided at all times. Under the supervision of the Team Leader is responsible for hot food preparation, including accompaniment and garnishes.
Note – Pay Rate for this Job is $15/Hour
Resposibilities:
Comprehensive knowledge of food preparation and handling technique.
General knowledge of safety and sanitation rules and practices.
Ability to work well independently given proper direction.
Has latitude to cope with some problems.
Confers with Team Leader on unusual problems.
Ensures that all hot food preparation and assembling is done in accordance with established procedures.
Responsible for...
Speech Language Pathologist for Early intervention Join our Pediatric School Based Team, and use your passion for Speech Therapy to help make a difference in a child’s life! Speech Language Pathologist for an Early Intervention position available to begin ASAP! Broome County Part-Time with the opportunity to build case load with more hours HealthPRO® Pediatrics is a national leading provider of highly skilled speech-language pathologists and educators. We hire Speech Therapists who share our vision, work diligently, and provide best practices in speech therapy that will change children’s lives for the better. If you are a passionate, talented SLP who wants to help children across the country, then maybe it is time to look at our company. The primary purpose of the Speech Language Pathology position is diagnostic assessment and therapeutic treatment of children from 0-3 years of age. The goal is to help children who demonstrate speech and language deficits reach their maximum...
Jan 22, 2021
Speech Language Pathologist for Early intervention Join our Pediatric School Based Team, and use your passion for Speech Therapy to help make a difference in a child’s life! Speech Language Pathologist for an Early Intervention position available to begin ASAP! Broome County Part-Time with the opportunity to build case load with more hours HealthPRO® Pediatrics is a national leading provider of highly skilled speech-language pathologists and educators. We hire Speech Therapists who share our vision, work diligently, and provide best practices in speech therapy that will change children’s lives for the better. If you are a passionate, talented SLP who wants to help children across the country, then maybe it is time to look at our company. The primary purpose of the Speech Language Pathology position is diagnostic assessment and therapeutic treatment of children from 0-3 years of age. The goal is to help children who demonstrate speech and language deficits reach their maximum...
